مقایسه اثربخشی درمان مبتنی بر شفقت و درمان مبتنی بر تعهد و پذیرش بر دشواری تنظیم هیجان در دانش آموزان دختر دارای اختلال نافرمانی مقابله ای
محورهای موضوعی : روان شناسیزهره جلالی 1 , پرویز عسگری 2 , علیرضا حیدرئی 3 , بهنام مکوندی 4
1 - دانشگاه آزاد اسلامی واحد اهواز، گروه روان شناسی، اهواز، ایران.
2 - دانشگاه آزاد اسلامی واحد اهواز، گروه روان شناسی، اهواز، ایران.
3 - دانشگاه آزاد اسلامی واحد اهواز، گروه روان شناسی، اهواز، ایران.
4 - دانشگاه آزاد اسلامی واحد اهواز، گروه روان شناسی، اهواز، ایران.
کلید واژه: درمان مبتنی برپذیرش وتعهد, اختلال نافرمانی مقابله ای, دشواری تنظیم هیجان, درمان مبتنی بر شفقت,
چکیده مقاله :
هدف پژوهش حاضر مقایسه اثر بخشی روش درمانی مبتنی برشفقت و درمان مبتنی برتعهد و پذیرش بر دشواری تنظیم هیجان در دانش آموزان دختران دارای اختلال نافرمانی مقابله ای بود. جامعه آماری شامل تمام دختران دبیرستانی شهرستان رامهرمز در سال تحصیلی 98-1397 بود. روش نمونه گیری بدین صورت بود که از بین کلیه مدارس دخترانه جامعه مذکور، دانش آموزان دختری که طبق نظر متخصصین مراکز مشاوره آموزش و پرورش تشخیص اختلال نافرمانی مقابله ای گرفته بودند، تعداد 60 نفر به صورت تصادفی انتخاب و به دوگروه آزمایشی و کنترل تقسیم شدند. هر گروه شامل 20 نفر بود. طرح پژوهش تجربی از نوع پیش آزمون - پس آزمون با گروه کنترل بود. ابزار مورد استفاده مقیاس دشواری در تنظیم هیجان گرتز و روئمر (2004) بود. روش های مداخله برای گروه اول آزمایشی درمان مبتنی بر شفقت گیلبرت (2014) و گروه دوم آزمایشی درمان مبتنی بر تعهد و پذیرش هیز و همکاران (2012) بود که هر کدام از درمان ها در 8 جلسه 90 دقیقه‌ای و به صورت هفته‌ای یک بار اجرا شدند. برای تجزیه و تحلیل داده ها از تحلیل کوواریانس یک متغیره و آزمون تعقیبی بنفرونی استفاده شد. نتایج نشان داد که درمان مبتنی بر شفقت و درمان مبتنی بر تعهد و پذیرش بر متغیر دشواری تنظیم هیجان در دختران دارای اختلال نافرمانی مقابله ای تاثیر داشت و نتایج حاکی از برتری روش درمان مبتنی بر تعهد و پذیرش برکنترل بهتر هیجان بود.
The aim of the present study was to compare the effectiveness of compassion-focused therapy and acceptance and commitment therapy on emotion regulation difficulty in high school girl students with oppositional defiant disorder. The statistical population included all high school girl students in Ramhormoz city in the academic year of 2018-2019. Subjects were selected by random sampling method from girls high schools in Ramhormoz city. The research method was an experimental with pre-test, post-test and control group design. The sample number for each group was about 20 subjects with oppositional defiant disorder. Therapeutic methods at both levels of compassion-focused therapy and acceptance and commitment therapy were considered as independent variables and emotion regulation difficulty as a dependent variable. Emotion Regulation Difficulty Scale (Gertz & Romer, 2004) was implemented to collect data. The first experimental group was treated with compassion-focused therapy of Gilbert (2014) and the second experimental group was treated with acceptance and commitment therapy of Hayes et al. (2012). Compassion-focused therapy sessions were performed in 8 sessions of 90 minutes once a week and acceptance and commitment therapy was performed in 8 sessions of 90 minutes once a week. Multivariate and univariate analysis of covariance and Ben Foroni post hoc test were used Data were analyzed using SPSS software version 24 and the significance level was equal/less than 0.05. The results showed the efficacy of both therapies on emotion regulation difficulty in female high school students with oppositional defiant disorder and the superiority of acceptance and commitment therapy over compassion-focused therapy.
American Academy of Child & Adolescent Psychiatry. (2007). Behavior problems in children and adolescents. Center of knowledge on Healthy Child Development. Afford Center for Child Studies. http://www.aacap.org
American Psychiatric Association, DSM-5 Task Forcr. (2013). Diagnostic and statistical manual of mental disorders (DSM–5). America, American Psychiatric Publishing, Inc,. https://doi.org/10.1176/appi.books.9780890425596
Azizi, A., Mirzaei, A., & Shams, J. (2010). Correlation between Distress Tolerance and Emotional Regulation With Students Smoking Dependence. Journal of Hakim, 13(1), 18. http://irisweb.ir/files/site1/rds_journals/84/article-84-41675.pdf
Balkis, M., & Duru, E. (2017). Gender differences in the relationship between academic procrastination, satifaction with academic life and academic performance. Electronic Journal of Research in Educational Psychology, 15(1), 105–125. https://doi.org/10.14204/ejrep.41.16042
Basharpoor, S., & Issazadegan, A. (2013). Role of self-compassion and forgiveness in prediction of depression severity among university students. Journal of Research in Behavioural Sciences, 10(6), 452-461. [Persian] URL: http://rbs.mui.ac.ir/article-1-278-fa.html
Esmaeili, L., Amiri, Sh., Abedi, M. R., & Molavi, H. (2018). The Effect of Acceptance and Commitment Therapy Focused on Self -Compassion on Social Anxiety of Adolescent Girls. Journal of Clinical Psychology Studies, 8(30), 117-137. DOI: 10.22054/JCPS.2018.8605
Gado, C., Gilbert, P., Read, N., & Goss, K. (2014). An evaluation of the impact of introducing compassion focused therapy to a standard treatment programme for people with eating disorders. Clinical psychology & psychotherapy, 21(1), 1-12. DOI: 10.1002/cpp.1806
Ghadampour, E. A., & Mansouri, L. (2018). The Effectiveness of Compassion Focused Therapy on Increasing Optimism and Self-compassion in Female Students with Generalized Anxiety Disorder. The Quarterly Journal of Psychological Studies, 14(1), 59-74. DOI: 10.22051/PSY.2017.13705.1329
Ghasemi, N., Goudarzi, M., & Ghazanfari, F. (2019). The Effectiveness of compassion-based therapy on cognitive emotion regulation, Shame and Guilt-Proneness and mindfulness components in patients with mixed anxiety- depression disorder. Clinical Psychology Studies, 9(34), 145-166. DOI: 10.22054/JCPS.2019.41020.2108
Gilbert, P. (2014). The origins and nature of compassion focused therapy. British Journal of Clinical Psychology, 53(1), 6-41. DOI: 10.1111/bjc.12043
Gilbert, P. (2015). Self-disgust, self-hatred, and compassion focused therapy. in Powell, P. A. et al (eds.) 'The Revolting Self: Perspectives on the Psychological, Social, and Clinical Implications of Self-Directed Disgust. London: Karnac Books. URL: http://hdl.handle.net/10545/622179
Gloster, A. T., Klotsche, J., Aggeler, T., Geisser, N., Juillerat, G., Schmidlin, N., ... & Gaab, J. (2019). Psychoneuroendocrine evaluation of an acceptance and commitment based stress management training. Psychotherapy Research, 29(4), 503-513. DOI: 10.1080/10503307.2017.1380862
Gooding, H., Stedmon, J., & Crix, D. (2019). All these things don’t take the pain away but they do help you to accept it: making the case for compassion-focused therapy in the management of persistent pain. British Journal of Pain, 14(1), 31-41.DOI: 10.1177/2049463719857099
Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the Difficulties in Emotion Regulation Scale. Journal of Psychopathology and Behavioral Assessment, 26, 41-54. DOI:10.1007/s10862-008-9102-4
Hamilton, S., & Armando, J. (2008). Oppositional defiant disorder. American family Physician. 78(7), 861-868. https://pubmed.ncbi.nlm.nih.gov/18841736/
Hayes, S.C., Strosahl, K.D., & Wilson, K.G. (2012). Acceptance and Commitment Therapy: The Process and Practice of Mindful Change (2nd Edition). New York, NY: The Guilford Press. https://psycnet.apa.org/record/2012-00755-000
Heshmati, A., Saed, O., Mohammadi, J., Zenoozian, S., & Yousefi, F. (2018). The efficacy of group acceptance and commitment therapy on reducing academic procrastination and improving difficulty in emotion regulation: A randomized clinical trial. Scientific Journal of Kurdistan University of Medical Sciences, 23 (5), 65-77. URL: http://sjku.muk.ac.ir/article-1-4316-fa.html
Keenan, K. (2012). Mind the Gap: Assessing impairment among children affected by proposed revisions to the diagnostic criteria for oppositional defiant disorder. Journal of Abnormal Psychology, 121(2), 352-359. DOI: 10.1037/a0024340
Neff, K.D. (2003). The development andvalidation of a scale to measure self-compassion. Self and Identity, 2(5): 223-252. https://doi.org/10.1080/15298860309027
Neff, K.D. (2008). Self-compassion: Moving beyond the pitfalls of a separate self-concept. In: Wayment HA, Bauer (Eds), Transcending self-interest: Psychological explorations of the quiet ego. 1st ed. Washington DC: American Psychological. DOI:10.1037/11771-009
Rouhani , A., & Izadi, S. (2021). The effect of play therapy with cognitive-behavioral approach on aggression, coping disobedience disorder, attention deficit-hyperactivity disorder in primary school male students. Journal of Analitical-Cognitive Psycholoy, 11(43), 25-37. http://psy.journals.iau-garmsar.ac.ir/article_679424.html
Thompson, R.J., Dizén, M., & Berenbaum, H. (2009). The unique relations between emotional awareness and facets of affective instability. Journal of Research in Personality. 43(3): 875–9. DOI: 10.1016/j.jrp.2009.07.006
Weitmann, D. (2006). Internalizing and externalizing symptoms among children with oppositional defiant disorder, conduct disorder or depression. ETD Collection for Pace University: New York. https://digitalcommons.pace.edu/dissertations/AAI3222743/
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